Provider Demographics
NPI:1063502144
Name:FRANKAMP, CYNTHIA LOU (PT)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:LOU
Last Name:FRANKAMP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 STEDMAN PL
Mailing Address - Street 2:
Mailing Address - City:MONROVIA
Mailing Address - State:CA
Mailing Address - Zip Code:91016
Mailing Address - Country:US
Mailing Address - Phone:626-497-1946
Mailing Address - Fax:
Practice Address - Street 1:440 STEDMAN PL
Practice Address - Street 2:
Practice Address - City:MONROVIA
Practice Address - State:CA
Practice Address - Zip Code:91016-1613
Practice Address - Country:US
Practice Address - Phone:626-497-1946
Practice Address - Fax:626-303-6218
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2017-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT10850225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT10850OtherLICENSE NO.